Medical Coding and Reasonable Value Expert
Contact this Expert Witness
- Additional States: Missouri and Texas
- Company: Transparency Healthcare
- Phone: 303-880-4694
Specialties & Experience of this Expert Witness
General Specialties:
Medical Billing and Medical CodingKeywords/Search Terms:
Reasonable Value of Medical Services, Payment Disputes, Future Cost of Care, Managed Care, Reimbursement Rate Expert, Contract Rate Negotiations, Medical Claims Analysis, Cost ProjectionsEducation:
B.A. Psychology, Southern Methodist University; Master of Science - Health Care Administration, Trinity UniversityYears in Practice:
26Number of Times Deposed/Testified in Last 4 Yrs:
8Additional Information
I am the founder of Transparency Healthcare, LLC and serve as an independent medical billing and coding expert. I hold a Master of Health Care Administration (MHA) from Trinity University and a Bachelor’s degree in Psychology from Southern Methodist University. I am a Certified Professional Coder (CPC) through the American Academy of Professional Coders and a Certified Forensic Medical Coder through the Association of Forensic Medical Coders, and I maintain active involvement in multiple professional organizations related to medical billing, coding, and claims analysis. Throughout my career, I have worked extensively with complex healthcare data, large claims datasets, and multiple healthcare information systems to support financial analysis, contract evaluation, and operational improvement. My expertise includes reimbursement methodologies, managed care contracting, utilization analysis, and medical coding compliance. As an expert consultant, I have prepared numerous reports addressing the reasonable value of medical services and have provided testimony in depositions, hearings, and jury trials. My work also includes assisting with the resolution of billing disputes, identifying errors in medical claims, and evaluating reimbursement practices in both facility and professional billing contexts.